Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,056.00 / $4,933.00 / $5,135.89	Facility		$2,056.00	$4,933.00	$5,135.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,162.38 / $1,162.38 / $1,162.38	Professional		$1,162.38	$1,162.38	$1,162.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $242.01 / $283.48 / $382.16	Facility		$242.01	$283.48	$382.16
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $433.24 / $2,056.00 / $5,061.53	Facility		$433.24	$2,056.00	$5,061.53
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $433.24 / $433.24 / $563.21	Professional		$433.24	$433.24	$563.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00
United Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $1,418.00 / $2,029.00	Facility		$300.00	$1,418.00	$2,029.00